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DEATH
CERTIFICATE
LUVERTA MILLER
Date 15 October 1941
Cert: 30016
Place of Death: County: Perry City or Town:
Hazard
Name of Hospital or Institution: Hurst Snyder
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Ky. County: Perry
City or Town: Dwarf, Ky.
Full Name: Luverta MILLER
If Veteran Name War: (blank)
Social Security No.: None
Sex, Color or Race, Marital Status: Female, White, Married
Husband or Wife of: Emenul MILLER
Age of husband or wife if alive: 25 years
Birth date of deceased: 07 July 1903
Age: 38 years, 03 months, 08 days
Birthplace: Knott County, Ky.
Occupation: House wife
Industry or business: Home
Father Name: Jim HOLLIFIELD
Father Birthplace: Virginia
Mother Maiden Name: Rosie SHORT
Mother Birthplace: Virginia
Informant: Emanuel MILLER, Dwarf, Ky.
Burial Place: Dwarf, Ky.
Date: 17 October 1941
Signature of funeral director: Maggard & Garrett, Hazard, Ky.
Date received by local registrar: 17 October 1941
Registrar's Signature: (illegible)
Date of Death: 15 October 1941
I hereby certify that I attended deceased from 15 October 1941 to
15 October 1941, that I last saw her alive on 15 October 1941, and that death
occurred on the date stated above at 10:40 p.m.
Immediate cause of death: Cerebral Hemorrhage
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: Baron S. Walden, M.D., Hazard,
Ky.
Date signed: (blank)
Transcribed by Debbie Tamborski, 13 May 2010 |
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